HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMP__._D FOR APPLICATION TO BE ACCEPTED
Date: �D I �` �� Permit Number: VW JV
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Building Permit Application SCMNSD
Planning and Development Services sy
LGCf@
Building and Code Regulation Division G'QGD(y
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Gas tank
PI ROP(lSFI),IMPRn\/FMFNT I nCATInNl
Address: 2602 Juniper Court Palm City FL 34990
Legal Description: Harbour ridge Plat No 1 Lot 37
Property Tax ID #: 4436-601-0037-000-4
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Lot No.37
Block No.
.CJ"
CONST2UGTION INFORMATION:
rtiona wor to e De orme unciertnis permit—c ec all apply:
11HVAC LJ Gas Tank ❑✓ Gas Piping _ Shutters ❑ Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
c)
Cost of Construction: $ c.3C��- Utilities: _Sewer Septic Building Height:
{O'WNERESSEE:
CONTRACTOR
Name Rolf Genssler
Name 'Robert•Binkowski -s,, 1,. ,, ,
Address:2602 Juniper Court ° `^:
Company: Eni rigized Gas' ,; `.: "
City: Palm City State:FL
Zip Code: 34990" `''-•..,.....,:.-. > ....., c
Fax:
Phone No.7723361874
Address: 645,NW Enterprise Drive#107
City: Port SCLucie} • `�•'�. -'...: :; State:fl
Zip Code: 34986 Fax: 7728074565
Phone No. 7728074566
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: Antonella@energizedgenerators.com
State or County License: 34747
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SU,PPLrEIVIENTAL dN&RUCTION'LIEWLAW
INFORMAT,ION..{.:
;.
,
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City:
Zip: _ Phone:
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or andcovenantsthat may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencinP_ work or recordine your Notice of Commencement.
s
_ Signature of Owner/ Lessee/Agent Signature of Contrac o License older
STATE OF FLORIDA ' ' ' ,' n STATE OF FLORID
COUNTY OF l�iMi}�( COUNTY OF l w il—e--
The f r ing instrument w acknowledged before me
this rday of. 20 L&by
(Sibp 1YCire of Notary Pu
Personally Known
Type of Identificati n Prc
Commission No.
Revised 07/15/2014
Florida
OR Produced Identification
Notary PN�pI� ggrate or Florida
Antoni3±91�Aula
My Commission FF 191201
The f� r;g/�ing instrument w s acknowledged before me
this L day of MIR 20 ]a by
(Name of person
Public- State of
Personally Known /N/ OR Produced Identification
Type of Identificatio P o c d
Commission No. g'"�`k, NoteryPudic teltplodda
onia M P28all
My Commission FF 191201
o�nd" Expires 02272019
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